For individuals with low testosterone, if LH and FSH are low, it may indicate a sleep problem or other pituitary issues affecting testicular stimulation.

“and that can result in the brain not sending the right signal to the testes”

“maybe stress you know probably hypercortisolemia maybe not so great um training overtraining under trining like you know what what are the what are the things you would look at to to brainstorm if that scenario were the case”

“when I think of all the things that would normally impair pituitary function the first thing that comes to my mind is sleep disruption yeah and you know knock on wood that's one thing I've pretty much got down in the toolkit my sleep is is great um maybe stress you know probably hypercortisolemia maybe not so great um training overtraining under trining like you know what what are the what are the things you would look at to to brainstorm if that scenario were the case”

“and you know knock on wood that's one thing I've pretty much got down in the toolkit my sleep is is great um maybe stress you know probably hypercortisolemia maybe not so great um training overtraining under trining like you know what what are the what are the things you would look at to to brainstorm if that scenario were the case”

“versus if you had low LH and FSH maybe your testicles are fine so why are you hap aurally getting on testosterone when maybe it's a lifestyle thing you know and so you know typically when we see that pattern the second pattern you've described which is low testosterone but in the setting of low LH and FSH the most obvious things that usually show up there are poor sleep uh and you know basically High glucocorticoids”

“in the setting of low LH and FSH the most obvious things that usually show up there are poor sleep uh and you know basically High glucocorticoids um which can also suppress the pituitary”